| NPI | 1326034836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL 21072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 21072) |
| 207R00000X Internal Medicine (Licence: AL 21072) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-11-18 |